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24 Jan_Sesi 1[3] Overview 12 Provincial Study.pdf

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24 Jan_Sesi 1[3] Overview 12 Provincial Study.pdf

  1. 1. Capacity Building on Analysis and Methodology for Health Researchers In Indonesia: Overview of 12 Provincial Studies Muchtaruddin Mansyur & Anung Sugihantono TA-9558 INO
  2. 2. INTRODUCTION
  3. 3. INTRODUCTION
  4. 4. INTRODUCTION  ADB with MOH conducted a research-based capacity building for health researchers from universities, health polytechnics, and MOH researchers.  12 Provinces were chosen to receive Research Grants from ADB  Determinant factor analysis was carried out by analysing quantitative data from the Indonesian Nutrition Status Survey 2021 & Baseline Health Research 2018
  5. 5. 1) Strengthen the competency of health researchers to conduct high quality research in stunting 2) Strengthen the competency of health researchers in writing high quality policy brief. 3) Strengthen the competency of health researchers in writing high quality manuscript for publication. 4) Strengthen networks among local officers and health researchers in improving the quality of local evidence-based health policy. THE OBJECTIVES
  6. 6. Research Outputs Aceh: 3 manuscripts & 5 policy briefs North Sumatra: 4 manuscripts & 1 policy brief West Sumatra : 4 manuscripts & 1 policy brief South Sumatra : 6 manuscripts & 5 policy briefs
  7. 7. Research Outputs West Java : 3 manuscripts & 2 policy briefs Central Java : 4 manuscripts & 5 policy briefs D.I. Yogyakarta : 6 manuscripts & 3 policy briefs East Java : 4 manuscripts & 2 policy briefs
  8. 8. Research Outputs Bali : 3 manuscripts & 3 policy brief East Nusa Tenggara : 3 manuscripts & 1 policy brief South Sulawesi : 4 manuscripts & 1 policy brief South Kalimantan : 3 manuscripts & 2 policy brief
  9. 9. Aceh DETERMINANT FACTORS OF STUNTING AMONG CHILDREN UNDER FIVE: A REGIONAL ANALYSIS IN ACEH PROVINCE, INDONESIA Province Findings from Aceh Study: • Factors Associated with Stunting in Aceh are  Location/Region  Ownership of birth certificate  Ownership of health insurance  Gender  Male  Aged >12 month  POSYANDU utilization  Mother's educational attainment  Owning assets  Access to proper drinking water
  10. 10. North Sumatra IMUT INTEGRATION PROGRAM AS AN ALTERNATIVE TO INCREASE FAMILY FOOD DIVERSITY TO REDUCE PREVALENCE OF STUNTING IN MANDAILING NATAL REGENCY Province Findings from North Sumatera Study: • Educational background was significant contributing factor to stunting • There is a relationship between the age at which complementary feeding (MP- ASI) was provided and the incidence of stunting The sooner prelacteal food is given, the easier it is for stunting to occur in children aged 0-2 years. • Significant relationship between food insecurity and the incidence of stunting in children under five in North Sumatra Province in 2021.
  11. 11. West Sumatra DRIVERS OF STUNTING REDUCTION IN INDONESIA: A CASE OF WEST SUMATERA PROVINCE Province Findings from West Sumatera Study: • Stunting increases until the age of two and remains relatively constant until the age of five. • The main determinants were:  Various infectious diseases  Dietary intake  Parents' socioeconomic status. • Children characteristics’ related to stunting:  Male gender  Low birth weight  Lack of vitamin A consumption
  12. 12. South Sumatra Correlation Of Individual Characteristics and Diarrhoea Disease with Stunting Toddlers in South Sumatra Province: Results from the 2018 Indonesian Baseline Health Research Province Findings from South Sumatera Study: • The mothers’ characteristics related to stunting were  Mothers’ height <150 cm  Mothers with low education • Children’s characteristic associated with stunting:  Low birth weight  Basic immunization status
  13. 13. West Java Determinant Factors of Short Birth Length Baby as a Risk Factor of Stunting in West Java Province Findings from West Java Study:  Mothers without health insurance were 4.5 times more likely to give birth to infants with small body length  Compared to mothers who had never taken blood supplement pills, mothers who had received blood supplement tablets had a 0.196-fold lower risk of having a baby with a short body length.
  14. 14. Central Java Determinants of linear growth among children aged 6–23 months in Central Java Indonesia: A path analysis Province Factors associated positively with linear growth :  birth weight (effect=0.001)  birth length (effect=0.08)  pregnancy spacing>2years (effect=0.25) Factors that had negative associations with linear growth :  mother’s age (effect=-0.008)  exclusively breastfed history (effect=-0.196)  consumption of unhealthy snacks (effect=0.093)  empty calorie drinks (effect=0.163)
  15. 15. East Java DIFFERENCES OF CHARACTERISTICS AND FAMILY PARENTING PATTERN IN TULUNGAGUNG AND BANGKALAN REGENCY Province In Bangkalan Regency it was shown that the risk of stunting was higher in  mothers low level of education (p= 0.027)  when children < 12 months old are taken care by someone other than their parents (p=0.011)  history intake fluids other than breast milk when the baby was born (p<0.001)  the child's age when weaned (p=0.019)  the child's age when they received food other than breast milk (p=0.004)  the frequency of consumption of vegetables and fruits in children (p=0.004)  history of consumption vitamin A (p=0.046).
  16. 16. Yogyakarta TREND, DETERMINANTS OF STUNTING BEFORE AND DURING COVID-19 PANDEMICS, AND SPECIFICS INTERVENTION TO SUPPORT STUNTING REDUCTION ACCELERATION IN YOGYAKARTA Province  Factors related to the risk of stunting in the period before and during the COVID- 19 pandemic are toddlers aged >2 years, Low Birth Weight, birth length, and underweight  Meanwhile, the structural factor is that in the pre-pandemic period, toddlers lived in rural areas, and during the COVID-19 pandemic is poverty  Social factors related to stunting toddlers before the pandemic are the Desirable Dietary Pattern score and universal health coverage ownership
  17. 17. Bali Socioeconomic factors and Health Services Associated with Stunting in Children Under Five Years of Age: a Cross-sectional Study in Bali, Indonesia Province Findings from Bali Study: Factors that significantly associated with stunting are:  Low maternal educational attainment  Inadequate consumption of iron tablets during pregnancy  No extended family
  18. 18. East Nusa Tenggara The Relationship between Child and Household Characteristics Factors with Stunting Incidence in the Dryland Area of the Archipelago of East Nusa Tenggara Province Province Findings from NTT Study:  The logistic regression test results showed that in the child's characteristic factor, there was a relationship between variables age, sex, low birth weight (LBW), body length, ownership of birth certificates and receiving supplementary feeding.  Meanwhile, in household factors, variables of toilet type, ownership of National Health Insurance/ Local Government Health Insurance, ownership of Kartu Keluarga Sejahtera (KKS) card, and areas of residence were related to stunting incidence.
  19. 19. South Kalimantan Analysis of Socioeconomic, Utilization of Maternal Health Services, and Toddler’s Characteristics as Stunting Risk Factors Findings from South Kalimantan Study:  Factors associated with stunting were:  Parents’ education level  Toddler age  Low birth weight  Exclusive breastfeeding  Underweight  The data were continued with the Logistics Regression test and the dominant variables related to stunting were underweight, under-five age, and premature birth. Province
  20. 20. South Sulawesi Determinants of stunting in children under five years old in South Sulawesi and West Sulawesi Province: 2013 and 2018 Indonesian Basic Health Survey Findings from South Sulawesi Study:  Five determinants of stunting in children under five both in South Sulawesi and West Sulawesi are : the household economic index, number of children under five in the house, mother's height, mother's education, child's age  At the household level, the determinant of stunting increased significantly as the household economic index decreased.  The weight at birth is the determinant factor only in South Sulawesi Province  The number of household members and child's age are determinant factors in West Sulawesi. Province
  21. 21. Conclusion Each Province has their own distinct determinants of Stunting Some determinants similar with other province Determinants of stunting might relate with Sociodemographic and Biocultural diversity of specific area
  22. 22. THANK YOU

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